目的分析某县实施结核病单病种定额支付政策后对肺结核诊疗费用的控制效果。方法采用定量描述和定性访谈相结合的方法,定量资料资料采用Excel 2010等软件进行分析,访谈资料进行归纳总结。结果该县住院比例逐年下降,到2014年住院比例仅30.5%;肺结核患者人均诊疗费用支出持续下降,2014年较2012年下降2 607元,降幅79.8%;医保费用支出总体上升,但2014年较2013年下降;定点医院结核病诊疗业务收入没有显著变化。结论单病种定额支付政策的实施基本实现了肺结核患者、医疗保障机构、结核病定点医院三者的利益平衡,但控制住院比例是前提,另外要加强对定点医院服务质量和费用报销的监管,加大对定点医院公共卫生补偿。 Objective To analyze the control effect on the treatment cost of tuberculosis after the implementation of a fixed payment policy of tuberculosis in a county. Methods The method of quantitative description and qualitative interview was used. Quantitative data were analyzed by software such as Excel 2010 and the interview data were summarized. Results The proportion of inpatients in this county decreased year by year, only 30.5% of them were hospitalized in 2014; the per capita expenditure on diagnosis and treatment of tuberculosis patients continued to decline, dropping by 2 607 yuan or 79.8% from that of 2012; the expenditure on medical insurance increased overall, but in 2014 In 2013, there was no significant change in the revenue from clinics for fixed-bed tuberculosis clinics. Conclusion The implementation of quota payment policy for single disease has basically realized the interest balance of TB patients, medical insurance agencies and designated hospitals of tuberculosis. However, it is a precondition to control the proportion of inpatient hospitalization. In addition, the supervision on the service quality and expense reimbursement in designated hospitals should be strengthened. Big fixed hospital public health compensation.